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HomeMy WebLinkAbout#8049-Haslbauer ZBA application Received TOWN OF SOUTHOLD JUL 2 3 2025 BUILDING DEPARTMENT SOUTHOLD,N.Y. Zoning Board of Appeals NOTICE OF DISAPPROVAL DATE: May 22, 2025 TO: Mark Schwartz(Haslbauer) PO Box 933 Cutchogue,NY 11935 Please take notice that your application dated April 7, 2025: For permit: to construct additions and alterations to existin sin le,family dvellin at: Location of property: 50 Osprey Nest Road. Green port. NY County Tax Map No. 1000—Section 35 Block 6 Lot 14 Is returned herewith and disapproved on the following grounds: The proposed construction to the existing single-family dwelling, on this nonconforrnin 15 000 s . ft. lot its the R-40 District, is not permilLedoursuant to Article XXXVI Section 280-207A b , which states; 441he ross floor area shall riot exceed the rrnitted s oars foots ze calculated as follows: Lots containina un to 20.000 square feet of lot area.. 2.100 s oars fact..Plus 12,5% of the lot in excess of 10,000 s . ft. a to a total of 3.350 s . ft. maximum" The permitted gross floor area is 2.725 s . ft. The ro osed gKoss floor area, is 3,370.8 sg. ft. Authorized Signature Note to Applicant: Any change or deviation to the above referenced application may require further review by the Southold Town Building Department. CC: file, Z.B.A. Received APPLICATION TO THE SOUTHOLD TOWN BOARD OF APPEAL t L 2 3 2025 AREA VARIANCE House No. 50 Street OSPREY GUEST ROAD H .let GREENPO*fng Board of Appeals 0.344 ACRES SCTM 1000 Section:035.00B1ock:06.00Lot(s) 014.000 Lot Size: 15,000SF Zone R-40 I(WE)APPEAL THE WRITTEN DETERMINATION OF THE BUILDING INSPECTOR DATED 5/22/2025 BASED ON SURVEY/SITE PLAN DATED 4/1/2025 Owner(s): JOHN M. HASLBAUER AND KATHLEEN E. HASLBAUER, AS TRUSTEES Mailing Address: 4 JEANETTE DRIVE, PORT WASHINGTON, NY 11050 JHASLBAUER@PKFOD.COM Telephone: 516-993-2967 Fax: N/A Email: KATEHASLB@GMAIL.COM NOTE: In addition to the:above please complete below if application is signed by applicant's attorney,agent, architect,builder,contract vendee,etc.and name of person who agent represents: Name of Representative: MARTIN D. FINNEGAN, ESQ. for(X) Owner( ) Other: Address: PO BOX 1452, 13250 MAIN ROAD, MATTITUCK, NY 11952 Telephone:631-315-6070 Fax: N/A Email: MFINNEGAN@NORTH FORK.LAW Please check to specify who you wish correspondence to be mailed to,from the above names: ( )Applicant/Owner(s), (X)Authorized Representative, ( ) Other Name/Address below: WHEREBY THE BUILDING INSPECTOR REVIEWED SURVEY/SITE PLAN DATED 4/1/2025 and DENIED AN APPLICATION DATED 4/7/2025 FOR: (X)Building Permit ( ) Certificate of Occupancy ( )Pre-Certificate of Occupancy ( ) Change of Use ( )Permit for As-Built Construction ( )Other: Provision of the Zoning Ordinance Appealed. (Indicate Article,Section,Subsection of Zoning Ordinance by numbers.Do not quote the code.) Article: XXXVI Section: 280 Subsection: 207A(b) Type of Appeal. An Appeal is made for: (X)A Variance to the Zoning Code or Zoning Map. ( )A Variance due to lack of access required by New York Town Law- Section 280-A. ( )Interpretation of the Town Code,Article Section ( )Request for Reversal or Overturn the Zoning Officer's Denial Other A prior appeal(X) has, ( ) has not been made at any time with res ect to this rr er `, UNDER Appeal Nos . pp 1925 Year(s). 1974 (Please be sure to research before completing this question or call our office for assistance) Received Page 2, Area Variance Application Revised 6/2023 JUL 2 3 2025 wq REASONS FOR APPEAL Zoning Board of Appeals (Please be specific,additional sheets may be used with preparer's signature notarized): 1.An undesirable change will not be produced in the CHARACTER of the neighbor or a detriment to nearby properties if granted,because: SEE ATTACHED NARRATIVE. 2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an area variance,because: SEE ATTACHED NARRATIVE. 3. The amount of relief requested is not substantial because: SEE ATTACHED NARRATIVE. 4.The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: SEE ATTACHED NARRATIVE. 5.Has the alleged difficulty been self created? { } Yes,or {)(} No Why: SEE ATTACHED NARRATIVE. • Are there any Covenants or Restrictions concerning this land? {X} No { I Yes(please furnish a copy) • This is the MINIMUM that is necessary and adequate,and at the same time preserve and protect the character of the neighborhood and the health, safety and welfare of the community. By signing this document,the PROPERTY OWNER understands that pursuant to Chapter 280- 146(B)of the Code of the Town of Southold,any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured, and/or a subdivision map has not been filed with the Suffolk County Clerk,within three(3)years from the date such variance was granted. The Board may,upon written request prior to the date of expiration,grant an extension not to exceed three(3)consecutive one(1)year terms. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO ENSURE COMPLIANCE WIT HE CODE REQUIRED TIME FRAME DESCRIBED HEREIN. Signature of plicant or Authorized Agent (Agent must submit written Authorization from Owner) .- st Sworn to before me this 2� day ANNALISE OUELLETTE of July 20 25 NOTARY PUBLIC-STATE OF NEW YORK ' No.01 OU6409457 Qualified in Suffolk County Notary Public My Commission Expires 09-28-2028 RIDER TO VARIANCE APPLICATION OF JOHN M. HASLBAUER AND KATHELEEN E HASLBAUER, 50 OSPREY NEST ROAD, GREENPORT, NEW YORK SCTM # 1000-35.-6-14 JUL 2 3 2025 Zoning Board of Appeals REASONS FOR APPEAL: The Applicants, John and Kathleen Haslbauer, are appealing the Building Inspector's Notice of Disapproval, dated May 22, 2025, for a building permit to construct additions and alterations to an existing single-family dwelling, substantially on the footprint of the existing residence. The subject parcel is a non-conforming 15,000 SF lot in the R-40 zoning district located on the corner of Osprey Neck Lane and Maple Lane in the Cleaves Point Subdivision in Greenport. The project contemplates a 1581 SF second story addition with a small 91 SF addition at the back end of the house and a 57.6 SF front porch enlargement. Although the proposed construction is otherwise conforming to all bulk schedule requirements, the proposed second floor addition will bring the GFA to 3,370.8 SF which is 646 SF above the allowable GFA of 2,725 SF. The surrounding neighborhood consists of one- and two-story homes varying in size on differently sized lots. Many of the homes in the community have GFAs that exceed the proposed GFA here. For the following reasons, the Applicant submits that variances from Section 280-124 are warranted. 1. An undesirable change will not be produced in the CHARACTER of the neighborhood or a detriment to nearby properties if granted, because: As stated above, the surrounding neighborhood is characterized by one- story and two-story dwellings on varying sized lots, including larger waterfront parcels as well as substandard 15,000 SF lots like the subject premises. The existing dwelling on this property was constructed in 1974 and is not suitable for the needs of modern family living. The Applicant submits that the granting of the requested GFA variance relief to permit an aesthetically pleasing second floor addition to this home within its existing conforming footprint will not result in any undesirable change in the neighborhood and the renovated home will be entirely in character with many of the surrounding homes in the Cleaves Point community. Received 2. The benefit sought by the applicant CANNOT be achieved by some method feasible for the applicant to pursue, other than an are% 2 3 2025 variance, because: Zoning Board nAr3als The Applicant is seeking the benefit of expanded and upgraded living space to meet the needs of 21st-century living. While the proposed construction is otherwise conforming to the bulk schedule, the size of the parcel and the advent of GFA regulations triggers the need for variance relief for the second story addition. 3. The amount of relief requested is not substantial because: The Applicant submits that while the magnitude of relief sought for side yard relief may be mathematically substantial at 23.7%, it is not practically substantial since there are many homes in the Cleaves Point community with gross floor areas that are substantially larger than what the applicant is proposing here. For example, the house just 2 doors down at 250 Osprey Nest Road was recently constructed with a GFA of 4,205 SF; just around the corner, 600 Snug Harbor Road has a GFA of 5,556 SF and 520 Snug Harbor obtained a variance to maintain a GFA of 4,237 SF (See, ZBA # 7889). In addition, the home at 965 Snug Harbor has a GFA of 4,799 SF and 160 Snug Harbor has a GFA of 4,205 SF. The configuration of the streets in the neighborhood precludes a strict application of the guidelines for averaging but it is apparent that the proposed construction is in character with numerous homes in the surrounding neighborhood where lot widths, areas and the mass of neighboring homes vary substantially. 4. The variance will NOT have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because: The granting of variance relief to allow the applicants to create necessary living space in their home will not have an adverse impact on the physical conditions in the neighborhood and will permit the construction of a two story home that is entirely consistent with the size and character of neighboring homes. In addition, as a Type II action, there is no perceivable environmental impact stemming from the proposed renovation. 5. Has the alleged difficulty been self-created? {} Yes, or {X} No Why: To any extent that the difficulty be deemed self-created, pursuant to New York Town Law §267-13 (3), a self-created hardship "shall not necessarily preclude the granting of an area variance." Page 2 of 2 Received Zoning Board of Appeals JUL 2 3 2025 APPLICANT'S PROJECT DESCRIPTION JOHN M. HASLBAUER AND KATHLEEN E. Zoning Board of Appeals APPLICANT: HASLBAUER, AS TRUSTEES SCTM No. 1000-035.00-06.00-014.000 1.For Demolition of Existing Building Areas Please describe areas being removed: PORTION OF UPPER DECK & 4'X4' STOOP/LANDING H.New Construction Areas(New Dwelling or New Additions/Extensions): Dimensions of first floor extension:27'X3.4' NORTH ADDITION; 57.6SF PORCH ENLARGEMENT Dimensions of new second floor:1 580.7SF 2ND FLOOR WITH 34.8SF SOUTHERN BALCONY Dimensions of floor above second level: N/A Height(from existing natural grade): 24.25' Is basement or lowest floor area being constructed?If yes,please provide height(above ground)measured from natural existing grade to first floor: NO III.Proposed Construction Description (Alterations or Structural Changes) (Attach extra sheet if necessary). Please describe building areas: Number of Floors and General Characteristics BEFORE Alterations: 1-STORY SINGLE FAMILY RESIDENCE WITH FRONT PORCH Number of Floors and Changes WITH Alterations 2-STORY SINGLE FAMILY RESIDENCE WITH ENLARGED FRONT PORCH IV. Calculations of building areas and lot coverage,sky plane(From Surveyor,Design Professional): Existing square footage of buildings on your property: 2,634.3SF Proposed increase of building coverage: 152.7SF Square footage of your lot: 15,000SF Percentage of coverage of your lot by building area(lot coverage) EXISTING 17.6%; PROPOSED 18.6% Gross f logr Area fir( FA)of single family dwelling including the attached garage and/or habitable detached accessory structure: (Please refer to Chapter 280, Section 280-207 of the Town Code): EXISTING 1,666.6SF; PROPOSED 3,370.8SF For Residential lots, is project within the allowable Sky Plane?(Please refer to Chapter 280, Section 280-208 of the Town Code): YES V.Purpose of New Construction: ADDITION OF LIVING SPACE TO ACCOMODATE FAMILY NEEDS. VI.Please describe the land contours (flat,slope %, heavily wooded, marsh area,etc.) on your land and how it relates to the difficulty in meeting the code requirement(s): Describe on separate page if needed: FLAT Please submit 8 sets of photos,labeled to show different angles of yard areas after staking corners for new construction,and photos of building area to be altered with yard view. Revised 6/2023 QUESTIONNAIRE '�Mc FOR FILING WITH YOUR ZBA APPLICATION Received A. Is the subject premises currently listed on the real estate market for sale? JUL 2 3 2025 Yes X No B. Are there any proposals to change or alter land contours? Zoning Board of Appeals X No Yes,please explain on separate sheet. C. 1.)Are there areas that contain sand or wetland grasses? NO 2.)Are those areas shown on the survey submitted with this application? N/A 3.)Is the property bulk headed between the wetlands area and the upland building area? N/A 4.)If your property contains wetlands or pond areas,have you contacted the Office of the BOARD OF TRUSTEES for its determination of jurisdiction? N/A w. Please confirm status of your inquiry or application with the Board of Trustees: N/A If issued, please attach copies of your permit listing conditions of approval with a copy of the approved survey. D, Is there a depression or sloping elevation near the area of proposed construction at or below five feet above mean sea level? NO E. Are there any patios, concrete barriers, bulkheads or fences that exist that are not shown on the survey that you are submitting? N' 9' If any of the aforementioned items exist on your property, please show them on a site plan. F. Are there any construction projects currently in process on your property? NO If yes, please submit a copy of your building permit and survey as approved by the Building Department and please describe scope of work: N/A G. Please attach all pre-certificates of occupancy and certificates of occupancy for the subject premises. If none exist, please apply to the Building Department to obtain them or to obtain an Amended Notice of Disapproval. H. Do you or any co-owner also own other land adjoining or close to this parcel? NO If yes, please label the proximity of your lands on your survey and identify the Suffolk County Tax Map No. N/A I. Please list present use or operations conducted at your property, and/or the proposed use EXISTING 1-STORY SINGLE FAMILY DWELLING;PROPOSED SAME WITH 2ND STORY ADDITION AND ENLARGED FRONT PORCH J. (examples:existing single family,proposed:same with garage,pool or other) 7/ /2025 AuthorihTsigndwde Date YOUN XM 4 TOWN OF SOUT80LD BUILDING DEPARTMENT Received Town Clerk's Office JUL 2 3 2025 Southold, N. Y. Zoning Board of Appeals Certificate Of Occupancy a�q Pa Y No. z(>.1.98. . . . . . Date . . . . . . . . . . . . .Nate . . . & . . . . . .. 1974. . THIS CERTIFIES that the building located at . Oa.Prey. A$t. A.�g1*. 14 Street Map No.Gleares .Pt Block No. . 11. . . . . .Lot No. 50. . . . .Groetipoxt. . . )!,?K*. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . .J=* . . . .l.1 . 19.74. pursuant to which Building Permit No. 7.4+0Z. dated . . . . . . . . .July. . . 25. . ., 19.74., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for.which this certificate is issued is . .Frlaate• tee• ly .4Vjjaling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . The certificate is issued to . •&• Eileen . . . . . , rS . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .$0x: . .7. . .1.9A . .fit. A* .YXA1*. , , UNDERWRITERS CERTIFICATE No. Y. 1991 48. . . . .#PY .5. 1 . ... . . . . . . . . . . . . . , HOUSE NUMBER . . . . .1640. . . . Street . . . Maple. la. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Osprey lust Road . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . .. . . . . . .. . .. . . . . . . . . . . . . Building Inspector 1 TOWN OF SOUTHOLD, NEW YORH DATE JRly„11., 1974 ACTION OF THE ZONING BOARD OF APPEALS Appeal No. 1925 Dated June 11, 1974 eceive0 " I ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD To James & Eileen Dugan AppellJUL 2 3 2025 12 Gedney Avenue Smithtown, New York --Board of Appeals at a meeting of the Zoning Board of Appeals on July 11, 1974 the appeal was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception under the Zoning Ordinance (X) Request for a variance to the Zoning Ordinance 1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be granted ( ) be denied pursuant to Article .................... Section .................... Subsection .................... paragraph .................... of the Zoning Ordinance and the decision of the Building Inspector ( ) be reversed ( ) be confirmed because 8:15 P.M. (E.D.S.T.) upon application of James and Eileen Dugan, 12 Gedney Avenue, Smithtown, New York for a variance in accordance with the Zoning Ordinance, Article III, Section 100-30 and Bulk Schedule for permission to construct dwelling with insufficient side yard. Location of property: Osprey Nest Road and Maple Lane, Lot No. 50, Section II, Cleaves Point Subdivision, Greenport, New York. Fee paid $15.00. 2. VARIANCE.By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary hardship because SEE REVERSE (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because SEE REVERSE (c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not) change the character of the district because SEE REVERSE and therefore, it was further determined that the requested variance ( ) be granted ( ) be denied and that the previous decisions of the Building Inspector( ) be confirmed ( ) be reversed. SEE REVERSE �w 1+TO BOARD 74=114� FORM ZB4 t Y an Appell Mar" rie McDermott, Secretary r Received JUL 2 3 2025 Zoning Board of Appeals After investigation and inspection the Board finds that applicant requests permission to construct dwelling with insufficient side yard located at Osprey Nest Road and Maple Lane, Lot No. 50, Section II, Cleaves Point Subdivision, Greenport, New York. The findings of the Board are that this is a corner property with two front yards and to locate the house facing Maple Lane would be a hardship to the applicant as it would face barns and stables across Maple Lane, and also heavier through traffic. The Board agrees with the reasoning of the applicant. The Board finds that strict application of the Ordinance would produce practical difficulties or unnecessary hardship; the hardship created is unique and would not be shared by all properties alike in the immediate vicinity of this property and in the same use district; and the variance will not change the character of the neighborhood, and will observe the spirit of the Ordinance. THEREFORE IT WAS RESOLVED, James & Eileen Dugan, 12 Gedney Avenue, Smithtown, New York be GRANTED permission to construct dwelling with insufficient side yard at Osprey Nest Road and Maple Lane, Lot No. 50, Section II, Cleaves Point Subdivision, Greenport, New York, as applied for, but subject to the following conditions: 1. That no portion of the house shall be closer than 40 feet to Osprey Nest Road. 2. That no portion of the house shall be closer than 10 feet to the westerly side yard. 3. That no portion of the house shall be closer than 30 feet to Maple Lane. Vote of the Board: Ayes:- Messrs: Gillispie, Bergen, Grigonis. � µ Received - JUL 2 3 2025 11111111 IN 111111111111111111111111111111111111111 IN Zoning Board of Appeals 111111111111111111111 IN SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 4/18/2024 Number of Pages: 3 At: 8 :36 :42 PM Receipt Number: 24-0050630 *ELECTRONICALLY RECORDED* Transfer Tax Number: 23-27276 LIBER: D00013245 PAGE: 089 District: Section: Block: Lot: 1000 035.00 06.00 014.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount $0. 00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $15. 00 NO Handling $20. 00 NO COE $5. 00 NO NYS SRCHG $15. 00 NO Notation $0. 00 NO Cert.Copies $0.00 NO RPT $200.00 NO Mansion Tax $0. 00 NO EA-CTY $5. 00 NO EA-STATE $125. 00 NO TP-584 $5. 00 NO Comm.Pres $0. 00 NO Transfer Tax $0. 00 NO Transfer Tax Number: 23-27276 Fees Paid $390.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County Number-of pages 3 4/18/2024 8:36:42 PM vi i,�pNT P elue CLERK 'f Ise doc snlc?rt'(w It be pblic SUFFOLK COUNTY ret o+'d" plpvr --ereiYiavp, all L D0001324--JUL 2 3 2025 3A� Social Securi4-,Numbers P 089 prior-to recording. 23-2-fg�k)g Board of Appeals Doed f kiartgage Instrument teed J Mortgage Tax Stamp Recordin,1 Fi ing Stamps FEB €gage.!Filing Fee Mortgage Amt. 1.Basic Tax Handling 20. 00 2, Additional Tax TP-584 5.00 Sub Total Notation 0.00 Spec.r'AssC or EAS217(County) 5.00 Sub'Total 45.00 Spec./Add. EA•5217(State) 125.00 TOT.MTG,TAX R.P.T.S.A. 200.00 Dual Town ,,Dual County Held for Appointment Comm.of Ed. CPD Transftt Tax 0.00 Affidavit Mansion Tax 0.00 Certified Co 000 The property covered by this mortgage is Copy . or wilt W improved by a one or two NYS Surcharge 15. 00 345.00 family dMitsng only. Sub Total YES or N0 Other 390.00 Grand Total If NO,see appropriate tax clause on page* of this instrument. 4 Dist, Section Block Lot 5 icommurity Preservation Fund 1- Real Property r Cor�sf deration A.ma�.nt$0_0 0 TaxSewice r' s R VGI A Agency UP Tax DLie $ 0.0 0 Verification arza lrnp€oved x rs na asg a ea s Is rape ors ,b� �'Addt RECORD&kI�I URN TO-, ]Manor Abstract Courtesy Recordings TD 10 114 Old Country Road ate 690 Wneola NY 11501 TD TD Manta: Vincent Puleo,StAblk County Clerk Title Company Information 310 Center f"31'ive, Riverhead, NY 119DI Go.Dame www,su€folkwuntyny,goviolerk Tj0e Suffolkun Recording & Endorsementage This page forms part of the attached DR8D made by: (SPECIRTYP OF INSTRUMENT) The premises herein issituahed in TC In the TOWN of SOU MOLD I n the VILLAGE or HAMLET of BOXES THRU 8 MU-7 SET YPEr.';OR RRIRTEMss IN BLACK INK ONLY FIGR TO AECDRDING OR FILING. 0 WARRANTY DEED WITH FULL COVENANTS (INDIVIDUAL AND CORPORATION) Received FORM 8003(short version),FORM 8008(long version) CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND J U L 2 3 2025 C0� PURCHASER BEFORE SIGNING. THIS INDENTURE,made the 13th day of November,2023, Zoning Board of Appeals between JOHN M.HASLBAUER and KATHLEEN HASLBAUER,husband and wife,both residing at 4 Jeanette Drive,Port Washington,New York 11050,party of the fast part,and JOHN M.HASLBAUER and KATHLEEN E.HASLBAUER,Trustees of the JOHN M.HASLBAUER LIVING TRUST dated November 13, 2023, as to a fifty percent(50%)interest, with an address at 4 Jeanette Drive,Port Washington,New York 11050,and KATHLEEN E.HASLBAUER and JOHN M. HASLBAUER, Trustees of the KATHLEEN E. HASLBAUER LIVING TRUST dated November 13, 2023,as to a fifty percent(50%)interest,with an address at 4 Jeanette Drive,Port Washington,New York 11050,party of the second part, WITNESSETH, that the party of the first part, in consideration of No Dollars and No Cents ($0.00) and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected,situate,lying and being at East Marion,in the Town of Southold,County of Suffolk and State of New York,known and described as Lot No.50,as shown on a certain map entitled,"Map of Section 2, Cleaves Pond,"and filed in the Office of the Clerk of the County of Suffolk on the 131 day of March, 1962 as Map No.3521,said lot being more particularly bounded and described as follows: BEGINNING at the comer formed by the intersection of the Northerly side of Osprey Nest Road with the Westerly side of Maple Lane; RUNNING THENCE along the Northerly side of Osprey Nest Lane,South 56 degrees 37 minutes 10 seconds West,100.00 feet;THENCE North 33 degrees 22 minutes 50 seconds West, 150.00 feet;THENCE North 56 degrees 37 minutes 10 seconds East, 100 feet to the Westerly side of Maple Lane; THENCE along the Westerly side of Maple Lane, South 33 degrees 22 minutes 50 seconds Fast 150.00 feet to the corner aforesaid and at the point or place of BEGINNING. BEING KNOWN AS AND BY the street address 50 Osprey Nest Road,Greenport,New York 11944. BEING AND INTENDED TO BE the same premises conveyed to the party of the first part by Deed dated March 6,2007 and recorded with the Office of the County Clerk,County of Suffolk on March 20,2007 in Liber D00012497,Page 119. TOGETHER with all right, title and interest, if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the fast part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the costs of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. AND the party of the first part covenants as follows: FIRST.That said party of the first part is seized of the said premises in fee simple,and has good right to convey the same; SECOND.—That the party of the second pail shall quietly enjoy the said premises; THIRD That the said premises are free from encumbrances,except as aforesaid; FOURTH. —That the party of the first part will execute or proeurc any further necessary assurance of the title to said premises; FIFTH.—That said party of the first part will forever warrant the title to said premises. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the parity the first pa has duly executed this deed the day and year first above written. .. ...... By::/�$)HN M.HASLBAUER By:KATHLEEN HASLBAUER District:1000,Section:035.00,Block:06.00,Lot:014.000 New York Residential Real Estate Forms 4- ®2023 Matthew Bender&Company,Inc.,a memberof LexisNexis, T-0 Aelmowledgment by a Person Within New York State(RPL§309-a) Received STATE OF NEW YORK ) JUL 2 3 2025 )SS.- COUNTY OF NASSAU ) Zon,iing On the 13th day of November in the year 2023,before me,the undersigned,personally appeared JOHN M.HASLBAUER and KATHLEEN HASLBAUER,personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacities, and that by their signatures on the instrument, the individuals, or the person upon behalf of which the individuals acted,executed a instrument. Kathleen M.DeGraH Notary Public,State of New York No.OIDE6374503 (signature and office of individual taking owrlelgment) QualOWI Suffolk Count a Warranty Deed Title No.19-8184 District 1000 Section 035.00 JOHN M.HASLBAUER and Block 06.00 KATHLEEN HASLBAUER Lot 014.000 To County or Town Suffolk JOHN M.HASLBAUER and Street Address 50 Osprey Nest Road KATHLEEN E.HASLBAUER, Greenport,New York 11944 Trustees of the JOHN M. HASLBAUER LIVING TRUST dated November 13,2023,as to a fifty percent(50%)interest,and KATHLEEN E.HASLBAUER and JOHN M.HASLBAUER,Trustees of the KATHLEEN E.HASLBAUER LIVING TRUST dated November 13, 2023,as to a fifty percent(50%) interest Return By Mail To: Eric J.Einhart,Esq. Russo Law Group,P.C. 100 Quentin Roosevelt Blvd.,Suite 102 Garden City,New York 11530 Reserve This S ace For Use Of Rewirding Office District 1000,Section:035.00,Block:06.00,Lot 014.000 New York Residential Real Estate Forms -2- 0 2023 Matthew Bender&Company,Inc.,a member of LexisNexis. Received Short Environmental Assessment Form Part 1 -Project Information JUL 2 3 2025 Instructions for Completing Zoning Board of Appeals Part 1—Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part I —Project and Sponsor Information Name of Action or Project: HASLBAUER VARIANCE Project Location(describe,and attach a location map): 50 OSPREY NEST ROAD,GREENPORT,NY 11944(SCTM#1000-035.00-06.00-014.000) Brief Description of Proposed Action: 2ND STORY ADDITION TO SINGLE FAMILY RESIDENCE. Name of Applicant or Sponsor: Telephone:P 631-315-6070 MARTIN D. FINNEGAN, ESQ. E-Mail: MFINNEGAN@NORTHFORK.LAW Address: PO BOX 1452, 13250 MAIN ROAD City/PO: State: Zip Code: MATTITUCK INY 11952 1. Does the proposed action only involve the legislative adoption of a plan, local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that z El may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other government Agency? NO YES If Yes, list agency(s)name and permit or approval:SUFFOLK COUNTY DEPT.OF HEALTH SANITARY SYSTEM {� �r APPROVAL �j Y 3. a. Total acreage of the site of the proposed action? 0.344 acres b. Total acreage to be physically disturbed? 0.13 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.344 acres 4. Check all land uses that occur on,are adjoining or near the proposed action: 5. ❑ Urban ❑ Rural(non-agriculture) ❑ Industrial ❑ Commercial m Residential(suburban) ❑Forest ❑ Agriculture ❑ Aquatic ❑ Other(Specify): ❑Parkland Page 1 of 3 qI 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? � Z El b. Consistent with the adopted comprehensive plan? Received %A� E wi F-� II 22 3 2025 NO YES 6. Is the proposed action consistent with the predominant character of the existil iIt or natural landscape? Zoning Board of Appeals i:i wi 7. Is the site of the proposed action located in, or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: W NO YES 8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation services available at or near the site of the proposed action? , El c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed action? El L4 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies; ........ ✓ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water:.wwwwwwwwww_____.., 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: vv_vvv.... 12. a.Does the project site contain,or is it substantially contiguous to,a building,archaeological site,or district NO YES which is listed on the National or State Register of Historic Places,or that has been determined by the Commissioner of the NYS Office of Parks,Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places? b. Is the project site,or any portion of it, located in or adjacent to an area designated as sensitive for archaeological sites on the NY State Historic Preservation Office(SHPO)archaeological site inventory? 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: ......w------- � Page 2 of 3 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply: El Shoreline ❑ Forest ❑Agricultural/grasslands ❑ Early mid-successional / ❑Wetland ❑ Urban m Suburban EllceIVEE,d 15. Does the site of the proposed action contain any species of animal,or associated habitats,listed by the State or NO YES Federal government as threatened or endangered? JUL 2 3 2025 Ei Piping Plover,Common Tern,... 16. Is the project site located in the 100-year flood plan? Zoning Board of Appoala NO YES ❑✓ 17. Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ a. Will storm water discharges flow to adjacent properties? IZI El b. Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? El Z If Yes,briefly describe: STORMWATER DISCHARGE TO BE CONTAINED ON SITE PER CH.236 OF TOWN CODE. 18. Does the proposed action include construction or other activities that would result in the impoundment of water NO YES or other liquids(e.g.,retention pond,waste lagoon,dam)? If Yes,explain the purpose and size of the impoundment: 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO YES management facility? IfYes,describe: ........ _ ......... ........... 20.Has the site of the proposed action or an adjoining property been the subject ofremediation(ongoing or NO YES completed) for hazardous waste? If Yes,describe: .. ......_................................... ❑ I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sPorsor/name: IN D. I ESQ_.. _ Date:7/ .__... /2025 .. .... Signature: ride:AGENT/ATTORNEY PRINT FORM Page 3 of 3 EAF Mapper Summary ReporI TuesdE �')uly 8, 202511:00 AM Disclaimer: The EAF Mapper is a screening tool intended to assist 5.. -7 35 'G-3 ' 38 7�1 6A 6 project sponsors and reviewing agencies in preparing an environmental 35 $-4 35 -6 3g w assessment form(EAF).Not all questions asked in the EAF are 6 $ answered by the EAF Mapper.Additional information on any EAF 14, s �' 35. $ 3 5 question can be obtained by consulting the EAF Workbooks.Although 35-�' � `�, „N� � '�„ � � ^� 38.-710.E 7 �I the EAF Mapper provides the most up-to-date digital data available to �x s�,. 38.7-10.1 8 DEC,you may also need to contact local or other data sources to ,, � confirm data provided by the Mapper or to obtain data not provided by Wµ 5 "" , 35.-6-13 "� " the Mapper. w 35--8-3-3 Swiiil roMg4 35.E-12 Bartle taps 38_-4-1.2 °�1 ':nr9wiir�,,, 35--6-111 ed . w 5E ' � m , To�nnto 35 -6-10 35. -1 . ��oR aM� ter � Prw� � Ndn'Vork , 35.-6-16 5 537 n p a , ,... u 35.-6-17 g , �i1P, t�p � `�5,� �r�rl�'s IPJE" wEh,� " ,�"" � brfdlllC� �w Esr+r IriEE" �anrmm U� �Ourc�.i" Esri HERE, rr tl �7 „���tt rr1180,�»6RLW� I �Q- sn)'apan N1 ET �rl "w,, �a�i jaw'l , �uu,ESri C1)ira�„�f r� SC tr 1 Kor�gl .E°sr��Korean Em'�TW'. r�l CC ,c� pr Cr � 1 - ruts,° a �j'i i�a�4 5 ' P r,"ztf, �,f �dap<,rrjm,a ser Corp^ nunity (8er N. ^ 35w' 9 ^ Part 1 /Question 7 [Critical Environmental �No JUL 2 3 2025 Area] Part 1 /Question 12a [National or State I No Zoning Board of Appeals Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] Yes Part 1 /Question 13a[Wetlands or Other Yes- Digital mapping information on local, New York State, and federal Regulated Waterbodies] wetlands and waterbodies is known to be incomplete. Refer to the EAF Workbook. Part 1 /Question 15 [Threatened or Yes Endangered Animal] Part 1 /Question 15 [Threatened or Piping Plover, Common Tern, Least Tern, Northern Long-eared Bat Endangered Animal - Name] Part 1 /Question 16 [100 Year Flood Plain] No Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAF Mapper Summary Report l Board of Zoning Appeals Al2plication Received OWNER'S AUTHORIZATION JUL 2 3 2025 �Gj (Where the Applicant is not the Owner) Zoning Board of Appeals John M. Haslbauer, TfEE and 1� Kathleen E. Haslbauer, TTEE residing at 4 Jeanette Drive (Print property owner's name) (Mailing Address) Port Washington, NY 11050 do hereby authorize MARTIN D. FINNEGAN, ESQ. (Agent) our to apply for variance(s)on n*r-behalf from the Southold Zoning Board of Appeals. By signing this document,the Property Owner understands that pursuant to Chapter 280- 146(B)of the Code of the Town of Southold any variance granted by the Board of Appeals shall become null and void where a Certificate of Occupancy has not been procured,and/or a subdivision map has not been filed with the Suffolk County Clerk,within three(3)years from the date such variance was granted. The Board of Appeals may,upon written request prior to the date of expiration,grant an extension not to exceed three(3)consecutive one(1)year terms. IT IS THE PROPERTY OWNER'S RESPONSIBILITY TO El' S C0WLL4,Nj:E WITH THE CODE UED T1W E DES; QED HEREIN. John M. Haslbauer Living Trust and the John M. Haslbauer Living Trust and the Kathleen E. H Ibauer iving Trust Kathleen E. Haslbauer Living Trust -A Ac, 0�w I i — (Owner's Signature) ne a ratorr John M. Haslbauer, as Trustee Kathleen E. Haslbauer, as Trustee (Print Owner's Name) (Print owner's Name) Received APPLICANT/OWNER JUL 2 3 2025 TRANSACTIONAL DISCLOSURE FORM onin . The Town of Southold's Code of Ethi ohibi c ntlic o i erest on the a fftce a e e ur thi i provide inform. do yr " n Pert;the ter f possible nili is of interMt a9d allow it to takeLion is O*g-MaLXkSvoi4 Saint, YOUR NAME: John M. Haslbauer Living Trust and Kathleen E. Haslbauer Living Trust (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship"includes by blood,marriage,or business interest."Business interest"means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP Submitted this V ay of A ULI (125 Signature Signature 11 ILA/", Print Name John Haslbauer, Trustee Print Name Kathleen E. Haslbauer,Trustee Received AGENT/REPRESENTATIVE JUL 2 3 2025 TRANSACTIONAL DISCLOSURE FORM Zonin B d 0A, I Ii The Town of Southold's Code 2f Ethics prohibits conflicts of interest on the part of town officers and er"I)IoNes.?911 PJAR .of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME : MARTIN D. FINNEGAN (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) TYPE OF APPLICATION: (Check all that apply) Tax grievance Building Permit Variance X Trustee Permit Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning Do you personally(or through your company,spouse,sibling, parent,or child)have a relationship with any officer or employee of the Town of Southold?"Relationship" includes by blood, marriage,or business interest."Business interest" means a business,including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% of the shares. X YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee. Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply) A)the owner of greater that 5%of the shares of the corporate stock of the applicant(when the applicant is a corporation) B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation) Q an officer,director,partner,or employee of the applicant; or D)the actual applicant DESCRIPTION OF RELATIONSHIP Zip HIV Submitted this ay of 2025 Signature M Print Name : IN FINNEGAN / a Town of Southold Received LWRP CONSISTENCY ASSESSMENT FORM jUL 2 3 2025 A. INSTRUCTIONS Zoning Board of Appeais 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3, If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 035.00 _06.00 _014.000 The Application has been submitted to (check appropriate response): ZONING BOARD Town Board Planning Dept. � Building Dept. Board of Trustees OF APPEALS 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction,planning activity, agency regulation, land transaction) (b) Financial assistance(e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: 2ND STORY ADDITION TO SINGLE-FAMILY RESIDENCE. Location of action:50 OSPREY NEST ROAD, GREENPORT, NY 11944 Received Site acreage:0.344 ACRES JUL 2 3 2025 (� Present land use: RESIDENTIAL Zoning Board of Appeals Present zoning classification:R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant:JOHN M. HASLBAUER AND KATHLEEN E. HASLBAUER,AS TRUSTEES (b) Mailing address:4 JEANETTE DRIVE, PORT WASHINGTON, NY 11050 (c) Telephone number: Area Code ( )516-993-2967 (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No® If yes,which state or federal agency? DEVELOPED COAST POLICY N/A - MINOR EXEMPT ACTION Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. F]Yes 0 No Mi Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria II Yes No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Received Yes No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria M Yes Ea No V Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes 1:1 No Nn Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ® Yes [:] No® Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LW e I — Policies Pages 32 through 34 for evaluation criteria. Yes ❑ No 0 Not Applicable JUL 2 3 2025 Zoning Board of Appeals Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. LEJ Yell No 0 Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. E]Yes ❑ No ® Not Applicable Pprpived Oft 7nninn Board of Appeals Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes 0 No V Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. L_J Yes 0 No 2 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Created on 5125105 11:20 AM Received JUL 2 3 2025 Zoning Board of Appeals M y f rr A fi N„ II I I• II Received JUL 2 3 2025 Zoning Board of AppesIF; CAM All . <f,lJ, ��✓�, ��'�l�"�� �I � �gir�wd�Y����li�;��Qlr ,,�w�+�(�!t,, �� G� rl,rt �� �. � I pP a r eeeive JUL 2 3 2025 Zoning Board of Appeals ;y Received JUL 2 3 2025 by Zoning Board of Appeals su N'. Received JUL 2 3 2025 v�G� Zoning Board of Appeals f„M/ //,%%; p f �o .e y , Receive JUL 2 3 2025q)L/O Zoning Board of Appeals 1d�Y� o / r Illp 1I, o TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 5437 5 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 ►s��u�_ Date Received APPLICATION FOR BUILDING PERMIT Received For Office Use Only JUL 2 3 2025 PERMIT NO. Building Inspector ,., ., Zoning Board of Appeals Applications and forms must be filled out in their entirety.Incomplete applications will not be accepted. Where the Applicant is not the owner,an Owner's Authorization form(Page 2)shall be completed. Date-April 4, 2025 OWNER(S)OF PROPERTY: Name:John and Kathleen Haslbauer SCTM#1000- 35 o ©sue-f4. Project Address:50 Osprey Nest Road Greenport, NY 11944 Phone#:5169932967 Email:Katehaslb@gmail.com Mailing Address:4 Jeannette Drive, Port Washington NY 11050 CONTACT PERSON: Name:Kathleen Haslbauer Mailing Address:4 Jeannette Drive Port Washington NY 11050 Phone#:516-993-2846 katehaslb@gmail.com Email: DESIGN PROFESSIONAL INFORMATION: Name:Mark Schwarz Mailing Address:28495 Main Road PO Box 933, Cutchogue, NY 11935 Phone#:631-734-4185 Email:mksarchitect@optonline.net CONTRACTOR INFORMATION: Name:Gabrielsen Builders Mailing Address:PO Box 317, Jamesport, NY 11947 Phone#:631-722-5130/516-322-1537 Email:rob@gabrielsenbuilders.com DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ■Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: ❑Other 1.2m Will the lot be re-graded? ❑Yes XNo Will excess fill be removed from premises? EYes ❑No g PROPERTY INFORMATION Existing use of property: SpJG Intended use of property: Zone or use district in which premises is situated: Are there any covenaXNo nd restrictions with respect to this property? ❑Yes IF YES, PROVIDE A COPY. 0 Check x After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 736 of the Town Code. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building zone ordinance of the Town of Southold,Suffolk,County,New York and other applicable laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorised inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210AS of the New York State Penal law. Application Submitted By(print name): c KM&T uthorized Agent ®owner Signature of Applicant: bate:4l4 ageived P JUL 2 3 2025 STATE OF NEW YORK) SS: Zoning Board of Appeals COUNTY OF Suffolk ko being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)he is the H-7-r�.Z4---e� (Contr ,tor,Adetdft,corporate Officer, c,) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this day of 20 Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) John Haslbauer residing at 4 Jeannette drive, Port Washington NY I 11050 Mark Schwarz do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein.. 4/6/2025 Owner's Signature Date John M Haslbauer Print Owner's Name 2 Y (5�-ZqORD CARD TOWN OF SOUTHOLD PRO$ STREET DIST.VILLAGE SUB. LOT--t 0 FORMER OWNER a N E ACR. w TYPE OF BUILDING S -v 04 v Z.- RES. SEAS. VL. i FARM COMM. CB. MISC. Mkt. Value LAND IMP. i TOTAL DATE REMARKS -n a J, a hc, ItIf 4f VC j A 7 L -q--L 6Ll?- GH11TION 'J' ' 06,tlfg 67, LL hn, -Z 1 FARM Acre Value Per Val(je CD 7� -f 14 CD Tillable 1 Tillable 2 LJ7 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH IBULKHEAD Total �DOCK i u I COLOR a E - i r R .t s I TRIM 10 E 0 3 M. Bldg. Foundation - Bath Dinette: Extension Basement - t r Floors ? K. Extension I j Ext. Walls Interior Finish LR. 1 � Extension x. afi Fire Place , Heat - DR. BR. Type Roof Rooms 1st Floor Porch Recreation Roorrj Rooms 2nd Floo. I FIN. B. ' ! - PQLCL I Dormer I Breezeway j Driveway CD Garage - - I 03CD Patio 0. B. I Total 1